| Musc Health Primary Care - Ron Mcnair Blvd | |
|
276 N Ron Mcnair Blvd Lake City SC 29560-2462 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Musc Health Primary Care - Ron Mcnair Blvd |
|---|---|
| Speciality | Clinic/Center |
| Location | 276 N Ron Mcnair Blvd, Lake City, South Carolina |
| Authorized Official Name and Position | Karyn Rae (CHIEF PAYOR RELATIONS AND REIMBURSE) |
| Authorized Official Contact | 8438761344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Musc Health Primary Care - Ron Mcnair Blvd Po Box 23467 New York NY 10087-3467 Ph: (843) 792-6200 | Musc Health Primary Care - Ron Mcnair Blvd 276 N Ron Mcnair Blvd Lake City SC 29560-2462 Ph: (843) 792-1414 |
| NPI Number | 1063149748 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 10/13/2022 |
| Medicare PECOS PAC ID | 1557268950 |
|---|---|
| Medicare Enrollment ID | O20220830000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063149748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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